Active NPI
Stephanie Lukevich
- Student in an Organized Health Care Education/Training Program
- Savannah, GA
National Provider Identifier
1154839157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- PHI-019494
- Practice address
- 5500 Abercorn St
Savannah, GA 31405-6913 - NPI assigned
- Jan 12, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | PSI37938 | FL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | PHI-019494 | GA | Primary |
Addresses
Primary practice location
5500 Abercorn St
Savannah, GA 31405-6913
Mailing address
9205 Tennyson LN
Savannah, GA 31405-0347
Phone (850) 217-3684
Other practice location 1
725 Grand Blvd
Miramar Beach, FL 32550-7873
Phone (850) 217-3684
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSI37938 | FL | MD | Student in an Organized Health Care Education/Training Program |
| PHI-019494 | GA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1154839157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9205 TENNYSON LN",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314050347",
"telephone_number": "850-217-3684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 ABERCORN ST",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314056913"
}
],
"practiceLocations": [
{
"address_1": "725 Grand Blvd",
"address_purpose": "LOCATION",
"city": "Miramar Beach",
"state": "FL",
"postal_code": "325507873",
"country_code": "US",
"telephone_number": "850-217-3684",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUKEVICH",
"first_name": "STEPHANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-12",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": "PSI37938",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "GA",
"license": "PHI-019494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.